Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Beth Patterson, LICSW

Individual provider Clinical Social Worker · NPI 1770601643

Mary Beth Patterson, LICSW is a Clinical Social Worker in Mankato, Minnesota. Qualified in 2011, 15 years ago. Practices with Collaborative Counseling LLC, a 43-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

521 Pfau St
Mankato, MN 56001
Phone: (507) 344-0621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 521 Pfau St, Mankato, MN 56001 — (507) 344-0621

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21259 (MN)

Record details

NPI number1770601643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJanuary 29, 2019
Mailing address825 S Front St, Mankato, MN 56001-2402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Collaborative Counseling Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mankato